Social inequality and incidence of and survival from breast cancer in a population-based study in Denmark, 1994-2003

Eur J Cancer. 2008 Sep;44(14):1996-2002. doi: 10.1016/j.ejca.2008.06.027. Epub 2008 Aug 11.

Abstract

We investigated the effects of socioeconomic, demographic and health-related indicators on the incidence of and survival from breast cancer diagnosed in 1994-2003 with follow-up through 2006 in Denmark using information from nationwide population-based registers. The analyses were based on data on 25,855 patients with breast cancer in a cohort of 3.22 million people born between 1925 and 1973 and aged >or=30 years. In general, the incidence of breast cancer increased with increasing social advantage, with unemployment or retirement, with increasing urbanicity and with being single or divorced. A history of admission for a psychiatric disorder increased the incidence of breast cancer. The overall relative short-term survival was high (96%), but survival improved with higher educational level and income. Whilst the relative 5-year survival after breast cancer was high (79%), there was significantly poorer relative survival amongst less advantaged and single women.

MeSH terms

  • Adult
  • Aged
  • Breast Neoplasms / epidemiology*
  • Breast Neoplasms / mortality
  • Breast Neoplasms / psychology
  • Cohort Studies
  • Demography
  • Denmark / epidemiology
  • Estrogens / therapeutic use
  • Female
  • Hormone Replacement Therapy
  • Humans
  • Incidence
  • Mass Screening
  • Middle Aged
  • Pregnancy
  • Socioeconomic Factors*
  • Survival Analysis

Substances

  • Estrogens